| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $2,754.23 | $4,073.80 | |
Aetna
| Professional | $151.36 | $346.74 | $645.65 | |
CareFirst
| Professional | $173.78 | $630.96 | $5,128.61 | |
Cigna
| Professional | $151.36 | $323.59 | $831.76 | |
Kaiser Permanente
| Professional | $295.12 | $660.69 | $691.83 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 | |
United
| Professional | $141.25 | $380.19 | $870.96 |